Comparative Analysis between Spinning and Other Causes in Exercise-Induced Rhabdomyolysis

Shim, Do Won; Hyun, Sung Youl; Woo, Jae Hyug; Jang, Jae Ho; Choi, Jae Yeon

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자료유형: 학술저널

저자정보: Shim, Do Won (Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine) Hyun, Sung Youl (Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine) Woo, Jae Hyug (Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine) Jang, Jae Ho (Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine) Choi, Jae Yeon (Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine)

저널정보: 대한외상학회 Journal of trauma and injury : JTI Journal of trauma and injury : JTI 제31권 제3호

발행연도: 2018.1

수록면: 159 - 165 (7page)

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Purpose: Spinning-induced rhabdomyolysis (SIR) has been increasing in recent years and accounts for a large proportion of exercise-induced rhabdomyolysis (EIR). The purpose of this study was to compare the clinical features between SIR and non-spinning exercise-induced rhabdomyolysis (NSIR), and to analyze each of these clinical features. Methods: A retrospective chart review was conducted on patients treated due to EIR from January 2006 to March 2018. Patients were divided into the SIR and NSIR groups, and their clinical factors, outcome, and blood chemistries were compared and analyzed. Results: Sixty-two patients were enrolled in this study, with 23 (37.1%) and 39 (62.9%) patients categorized in the SIR and NSIR groups, respectively. The SIR group were mostly women (78.3% vs. 38.5%, p=0.002), more frequent EIR occurrence in the first exercise class (60.9% vs. 15.4%, p=0.001), and had most complaints of thigh pain (91.3% vs. 43.6%, p=0.001). The SIR group had a higher incidence rate despite its shorter exercise duration (90.5% vs. 62.9%, p=0.024), longer hospital stay (6.0 [4.5-7.0] vs. 5.0 [3.5-6.0] days, p=0.080), and higher rate of peak CPK (15,000 U/L or higher) (91.3% vs. 74.4%, p=0.182) compared to the NSIR group. Conclusions: SIR occurs at a higher rate during the first exercise class in women compared to NSIR, and the incidence rate is higher in SIR than in NSIR despite its shorter exercise duration (less than 60 minutes). It is necessary to recognize these risks during spinning exercises and to perform these exercises sequentially and systematically.

#Rhabdomyolysis #Exercise #Acute kidney injury

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Shim, Do Won

소속기관 Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of